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Certificates of Delivery of Public Notice to Customers for Revised Total Coliform Rule Violations

Use these forms to notify your customers of Revised Total Coliform Rule violations.

 Download Tier I Certificate for:

  • E. coli Maximum Contaminant Level (MCL) violation

Download Tier II Certificate for:

  • Assessment triggers
  • E. Coli positive groundwater source sample

Download Tier III Certificate for:

  • Distribution Routine Monitoring violation
  • Triggered Source Monitoring (raw source) violation

Download